ECMC OUTER EAST SIDE HEALTH CENTER CO PHARMACY NPI 1457458390

NPI Information

NPI: 1457458390
Provider Name: ECMC OUTER EAST SIDE HEALTH CENTER CO PHARMACY

Doing Business As: ECMC EAST SIDE PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1500 BROADWAY ST
BUFFALO, NY
ZIP 14212
Phone: (716) 891-2015
Get Directions

ECMC OUTER EAST SIDE HEALTH CENTER CO PHARMACY is a clinic pharmacy pharmacy in Buffalo, NY. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. ECMC OUTER EAST SIDE HEALTH CENTER CO PHARMACY NPI is 1457458390. The provider is registered as an organization entity type.
The provider Is Doing Business As Ecmc East Side Pharmacy.

The provider's business location address is:

1500 BROADWAY ST
BUFFALO, NY
ZIP 14212-845
Phone: (716) 891-2015
Fax: (716) 891-2035

The provider's authorized official is Shirley Stolarski .
The authorized official title is Supervising Phct and has the following contact phone number (716) 891-2015.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	018243	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3381213	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	00245863	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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